Abstract

To the editor: The December issue had a most interesting combination of articles (1, 2). Both address the importance of understanding and applying the powerful, so-called nonspecific placebo effects and other psychologically mediated effects that can benefit our patients. Dr. Sox's cautionary remarks were reasonable, but several comments are in order.

First, in light of increased consumer pressure, we must remember that our patients deserve the best medical care, whether or not that conforms to what they expect or desire. Thus, although patients may have come to expect prescriptions and diagnostic tests, these should be given only when needed and